Organization
ORLANDO DERMATOLOGY CLINIC LLC
Active
Organization
ORLANDO DERMATOLOGY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAREK S SHAATH (MD)
(352) 218-3211
Entity
Organization
Contact information
Practice address
118 W ORANGE ST, ALTAMONTE SPRINGS, FL 32714-2537
(352) 218-3211
Mailing address
1040 LAKE SUMTER LNDG, THE VILLAGES, FL 32162-2697
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
02/01/2024
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